ArticleInternational journal of general medicine2021
The Prevalence and Factors Associated with Low Back Pain Among People with Flat Feet.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Association between lower limb alignment and low back pain: A systematic review with meta-analysis.PloS one · 2024Pooled it
- Unilateral Balance, Muscular Strength, Foot Arch Status, and Physical Performance in Young Adults with and Without Low Back Pain.Journal of clinical medicine · 2026Article
- Foot Arch Status and Muscular Strength: Associations with Unilateral Balance and Physical Performance.Diagnostics (Basel, Switzerland) · 2026Article
- Prevalence of Low Back Pain in Saudi Arabia: A Systematic Review and Meta-Analysis of 124 Studies.Journal of pain research · 2026Review
- Prevalence and functional impact of flexible flatfoot in school-aged children: a cross-sectional clinical and postural assessment.Journal of orthopaedic surgery and research · 2025Article
- Development of prediction model for risks of musculoskeletal chronic lumbopelvic pain in Indian women.Scientific reports · 2024Article
- Really Asymptomatic? Health-Related Quality of Life and Objective Clinical Foot Characteristics among 5-10-Year-Old Children with a Flexible FlatFoot.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA positive relationship between flat feet and low back pain (LBP) has not gained consensus in literature. The aim of this study was to determine the prevalence and factors associated with low back pain (acute and chronic) among individuals with flat feet.
methodsIn 2018, a cross-sectional study was conducted at a national festival in Saudi Arabia, and 1798 adult visitors were invited to participate in face-to-face interviews. Participants' characteristics were stratified by the type of foot and they were questioned on acute low back pain (ALBP) or chronic low back pain (CLBP). The odds ratio (OR) were presented as a measure of this association, followed by a multivariate analysis.
resultsThe prevalence of LBP among participants with flat feet was 65.9%, among whom 51.6% suffered ALBP and 48.4% suffered from CLBP. Flat feet increased the chances of having ALBP by 3.28 times and CLBP by 4.5 times. After stratification, ALBP and CLBP were both significantly higher among all participants with flat feet in comparison with their counter groups. Multivariate analyses showed that females were more likely to complain of ALBP. Participants who did no physical activity were more likely to complain of ALBP. Female participants and older participants were more likely to complain of ALBP and CLBP.
conclusionFlat feet are associated with both ALBP and CLBP. Significant factors of low back pain also included sex, age, occupation, and physical activity.
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